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All Journal Jurnal Administrasi Kesehatan Indonesia Biomedical Journal of Indonesia Jurnal Sistem Kesehatan Jurnal Penelitian Kesehatan Suara Forikes GIZI INDONESIA Syntax Literate: Jurnal Ilmiah Indonesia Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia) Journal of Epidemiology and Public Health Jurnal Dunia Kesmas Jurnal Ilmu Kefarmasian Indonesia Jurnal Kesehatan Al-Irsyad Poltekita : Jurnal Ilmu Kesehatan Syntax Idea PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ilmiah Kesehatan Masyarakat : Media Komunikasi Komunitas Kesehatan Masyarakat Jurnal Cahaya Mandalika Jurnal Kesehatan Tambusai JURNAL KESEHATAN: JURNAL ILMIAH MULTI SCIENCES Narra J Daengku: Journal of Humanities and Social Sciences Innovation Jurnal Ilmiah Kesehatan (JIKA) Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Journal Of World Science Proceeding Muhammadiyah International Public Health and Medicine Conference Journal of Hospital Administration and Management (JHAM) Jurnal Keperawatan dan Kesehatan (JKK) Journal of Mandalika Literature Journal of Economics and Public Health JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Jurnal ARSI : Administrasi Rumah Sakit Indonesia Journal of Indonesian Health Policy and Administration Jurnal Ekonomi Kesehatan Indonesia Cermin Dunia Kedokteran Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Ascobat Gani
Departemen Administrasi Dan Kebijakan Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Indonesia
Aerospace Engineering Agriculture, Biological Sciences & Forestry Humanities Automotive Engineering Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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Hospital Cost vs INA-CBGs Claim for Obstetrics Procedure In Soe Rural General Hospital, East Nusa Tenggara: Tarif Rumah Sakit vs Klaim INA-CBGs untuk Prosedur Obstetrik di Rumah Sakit Umum Daerah SoE, Nusa Tenggara Timur Raymond Surya; Ascobat Gani; Yudianto B. Saroyo
Indonesian Journal of Obstetrics and Gynecology Volume 11 No. 4 October 2023
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v11i4.2010

Abstract

Objective: To depict the discrepancy and analyze the difference between hospital cost and INA-CBGs claim in obstetrics’ cases in SoE Rural General Hospital, Timor Tengah Selatan regent, East Nusa Tenggara. Methods: This is an observational descriptive study using medical record documents of spontaneous vaginal, assisted vaginal, and cesarean delivery cases from the period of October to December 2022. We included all completed billing documents on that period. Cases paid by fee-for-service and local government were excluded. Data analysis was conducted using IBM SPSS Statistic 23.0 Results: From the total of 323 delivery cases recorded in SoE Rural General Hospital, only 245 cases were included. Most subjects were patients aged around 30 years old, referred from primary healthcare facility in the district, were in term pregnancy, and in 3rd class inpatient rooms. The median of length of stay (LOS) in vaginal delivery (spontaneous and assisted) and cesarean delivery were 2 days and 3 days, respectively. Mean difference between hospital cost to INA-CBGs claim was 67% to 158% for either vaginal or cesarean delivery based on class inpatient room. We found that hospital cost was always higher than claim cost based on INA-CBGs claim. Conclusion: There is a significant discrepancy between hospital cost and INA-CBGs claim (from 67% to 158%) for obstetric services in SoE Rural General Hospital. Keywords: hospital cost, INA-CBGs claim, obstetric. Abstrak Tujuan: Untuk memberikan gambaran perbedaan dan menganalisis perbedaan antara tarif RS dengan klaim INA-CBGs pada kasus obstetrik di RSUD SoE, Timor Tengah Selatan, Nusa Tenggara Timur. Metode: Studi deskriptif observasional menggunakan dokumen rekam medis dari kasus persalinan pervaginam spontan, persalinan pervaginam dengan alat, dan seksio sesarea dari Oktober hinga Desember 2022. Kami memasukkan seluruh dokumen billing yang lengkap. Dokumen biling yang dibayarkan mandiri dan oleh pemerintah lokal dieskslusi. Analisis data dengan menggunakan IBM SPSS Statistik 23.0. Hasil: Dari 323 persalinan yang terekam di RSUD SoE, hanya 245 kasus diinklusikan. Kebanyakan subjek berusia 30 tahun, dirujuk dari puskesmas, kehamilan cukup bulan, dan ruang perawatan kelas 3. Angka median dari lama rawat pervaginam (baik spontan maupun dengan alat) adalah 2 hari dan seksio sesarea 3 hari. Rerata perbedaan tarif RS dengan klaim INA-CBGs ialah 67% hingga 158% baik persalinan pervaginam maupun seksio sesarea berdasarkan ruang kelas perawatan. Kami menemukan angka tarif RS selalu lebih tinggi cukup jauh dari klaim INA-CBGs. Kesimpulan: Terdapat perbedaan antara tarif RS dan klaim INA-CBGs (antara 67 hingga 158%) untuk prosedur obstetrik di RSUD SoE. Kata kunci: tarif RS, klaim INA-CBGs, obstetrik.
FAKTOR-FAKTOR YANG MEMPENGARUHI TERJADINYA PENDING KLAIM RAWAT INAP Simbolon, Ferawati; Gani, Ascobat
Jurnal Keperawatan dan Kesehatan Vol 14 No 1 (2023): Jurnal Keperawatan dan Kesehatan
Publisher : Sekolah Tinggi Ilmu Keperawatan Muhammadiyah Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54630/jk2.v14i1.272

Abstract

Latar belakang: Dalam pelaksanaanya penggunaan BPJS Kesehatan akan dilakukan pengklaiman dilakukan setalah pasien selesai melakukan perawatan, dalam proses pengajuan klaim yang diajukan dari Rumah Sakit kepada pihak BPJS Kesehatan dengan beberapa tahapan verifikasi kelengkapan berkas baik secara administrasi kepesertaan, administrasi pelayanan maupun verfikasi pelayanan kesehatan. Tujuan: untuk mengetahui faktor-faktor yang mempengaruhi pending pada klaim BPJS pada pasien rawat inap adalah koding yang tidak sesuai, kelengkapan berkas, serta perbedaan dalam mengakan diagnosa. Metode: Dalam melakukan review jurnal penulis melakukan pencarian secara elektronik dengan mengguankan beberapa database, seperti Google Scholar, Pubmed. Keyword yang digunakan adalah Tunda/ pending, Bpjs/ JKN, rekam medis, serta dengan kriteria inklusi PICO frame work (P /Problem, Klaim bpjs I/Intervention: kelengkapan berkas, O/Outcome: penyelesaian masalah pending kleim bpjs. Setelah diseleksi PICO didapat 5 jurnal untuk review dari tahun 2020-2022. Hasil: Dari review beberapa jurnal didapatkan bahwa faktor-faktor yang mempengaruhi pending pada klaim BPJS pada pasien rawat inap adalah koding yang tidak sesuai, kelengkapan berkas, serta perbedaan dalam mengakan diagnoae. Kesimpulan: faktor-faktor yang mempengaruhi pending pada klaim BPJS pada pasien rawat inap adalah koding yang tidak sesuai, kelengkapan berkas, serta perbedaan dalam mengakan diagnose Kata Kunci: Pending., Klaim, BPJS
Analysis of Fairness Distribution of Capitation Service Between Health Centers Dayyana, Latanza Shima; Gani, Ascobat
Journal of Economics and Public Health Vol 1 No 2 (2022): Journal of Economics and Public Health: June 2022
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jeph.v1i2.995

Abstract

This article discusses the analysis of fairness distribution of capitation services between health centers in Bogor 2019. Objective: to conduct a fairness analysis of distribution of capitation service between health centers in Bogor 2019. Method: This research is a qualitative study with a case study design. The Population of this study was all workers in 101 health centers in Bogor, the sample was selected using Purposive Random Sampling and 5 health centers were selected, that is Tajur Halang, Leuwiliang, Cirimekar, Parung Panjang and Bojong. The data in this study were obtained from in-dept interviews with 18 informants, capitation data in 2017, 2018 and data on the realization of distribution capitation services at health center based on the regulation the Minister of Health Number 21 of 2016. The data is processed by going through several stages, that is data reduction, data display dan conclusion drawing. Results: The study show that there is external injustice related to services in capitation fund of Bogor district in 2019. Conclusions: There is a need for further research related to risk adjustment based on age, gender and geography to determine the amount of capitation between health centers. This research contributes to reviewing the establishment of Civil Servants Income Allowances, so that there is no disparity between health centers.
PELAYANAN KESEHATAN PRIMER SEBAGAI GATEKEEPER DAN KEBIJAKAN DISKUSI PEER REVIEW: ANTARA KUALITAS DAN REALITAS UNTUK MENURUNKAN KASUS RUJUKAN NON SPESIALISTIK Zahrina, Zahrina; Ramadani, Royasia Viki; Hulwah, Khairun Nisa il; Nurlatifah, Siti; Andalan, Aldi; Gani, Ascobat; Kurniawaty, Golda; Setiawan, Ery
Jurnal Ekonomi Kesehatan Indonesia Vol. 8, No. 2
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Almost 80% of the source of funds is spent on hospital. This situation indicates the failure of the gatekeeper function in primary health care. Performance-based capitation is implemented to ensure the cost and quality of primary care, with non-specialist referral rate as one of the particular parameters. The peer review policy is a discussion between BPJS Health, District/City Health Services, IDI, provincial and branch Team of KMKB and other relevant stakeholders to determine which diagnoses must be handled at FKTP also to accommodate and improve the capacity of FKTP to handle patients and minimize referral cases. This study aims to evaluate the implementation of peer review discussions and analyze the obstacles, challenges and potential of peer review policies to optimize the FKTP gatekeeper function. The research method is qualitative, and it involves conducting in-depth interviews, FGDs, and literature reviews. In general, the peer review policy is quite good in controlling referral cases, especially RNS (Non-Specialist Referrals). In general, the peer review policy is entirely reasonable to control referral cases, especially RNS. Evaluation of the "peer review discussion" policy on the communication aspect is the lack of socialization regarding the management of tiered referrals. Resources, especially human resources, health equipment and drugs, still need to be increased in FKTP. Payment mechanisms such as capitation are essential to adjust the risk and capacity of FKTP or incentive mechanisms—determination of PPK on FKTP, clear boundaries and medical authority for FKTP and FKRTL. As well as, the role and coordination among stakeholders need to be improved to strengthen the prerequisites for FKTP infrastructure.
INPATIENT CARE UTILIZATION AFTER JKN: A STUDY CASE IN EAST NUSA TENGGARA Rahvy, Aisyah Putri; Gani, Ascobat
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 1 (2024): June
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i1.2024.120-128

Abstract

Background: Healthcare utilization is a predictor of health status among the population. The issues of its accessibility and equity have been raised, particularly after the government launched JKN (Jaminan Kesehatan Nasional) Aim: This study aims to analyze the determinants of inpatient care utilization in East Nusa Tenggara. Method: We used SUSENAS 2019 dataset and carried out descriptive and econometrics analysis to covariates including age, gender, educational level, type of health insurance, employment status, and type of residence. Result: We found that all covariates analyzed were statistically significant in affecting the probability of inpatient care utilization (p-value<0.005). Different patterns of sociodemographic factors among people in East Nusa Tenggara will affect their rate of inpatient care utilization.  Conclusion: Inpatient care utilization rate is crucial to measure health accessibility and prevent any aggravated morbidity due to delayed treatment. Strategies to increase inpatient care utilization are needed to provide accessible treatment for all and increasing population health status. Keywords: East Nusa Tenggara, health utilization, hospitalization, inpatient care
IMPLEMENTATION OF PRIMARY HEALTH CARE SYSTEM IN COUNTRIES Lukito, Memo; Gani, Ascobat
Indonesian Journal of Health Administration (Jurnal Administrasi Kesehatan Indonesia) Vol. 12 No. 2 (2024): December
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jaki.v12i2.2024.315-324

Abstract

Background: Primary Health Care (PHC) systems are essential for delivering comprehensive and accessible health services globally, focusing on individuals’ and communities’ fundamental health and well-being. Aims: To assess PHC systems to ensure universal access, regardless of socio-economic status or location, by providing comprehensive services such as illness prevention, treatment, rehabilitation, support, and health promotion. Methods: This study utilised the PICO framework, with methods and results of this systematic review based on PRISMA guidelines. Articles were identified through an initial generic search in PubMed, ScienceDirect, and Scopus databases. Results: After the assessment, a total of 18 articles were selected. The following priorities for PHC policy implementation emerged: enhancing collaboration between public and private sectors, improving information sharing through technology and health literacy, establishing quality evaluation systems, and promoting community-based training programs. Identified challenges include workforce shortages, particularly in rural areas, and inadequate coordination between primary and secondary care. Addressing these challenges and focusing on these priorities can lead to better health outcomes and more effective PHC systems. Conclusion: The Alma-Ata Declaration of 1978 was a transformative milestone in global health. It advocated for "Health for All" through Primary Health Care (PHC). Despite initial challenges, the principles of Alma-Ata have significantly influenced PHC systems worldwide. Keywords: Country-specific health primary care, health care systems, primary healthcare
HEALTH STATUS AND HEALTH SERVICE UTILIZATION IN RETIREMENT Cahya Edi Prastyo; Ascobat Gani
Muhammadiyah International Public Health and Medicine Proceeding Vol. 4 No. 1 (2024): PROCEEDING MUHAMMADIYAH INTERNATIONAL PUBLIC HEALTH AND MEDICINE CONFERENCE - F
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61811/miphmp.v4i1.621

Abstract

Demographic Transition leads to changes in disease patterns, affecting retired workers and their spouses in the mining industry as they transition into retirement. This study examines the health status of retirees and their spouses and its impact on health service utilization. This descriptive cross-sectional study gathered data from 1644 retirees and their spouses receiving Employer Sponsored retiree health services in Indonesia in 2023. The study revealed that 65.9% of respondents had a history of chronic diseases, with 35.02% having more than one chronic disease. Most respondents of retired workers were men (90.93%), and most spouses were women (78.4%). Chronic diseases were higher among women. Health service utilization increased with age and was higher among those with a history of chronic diseases. Those with chronic diseases utilized health services more frequently than those without, indicating a 3.4 times increase in utilization. Retirees are susceptible to chronic diseases and multimorbidity, with female spouses being particularly vulnerable. Multimorbidity adversely impacts the frequency of health service utilization.
Evaluasi Formatif Penyerapan Anggaran Bantuan Operasional Kesehatan (BOK) Puskesmas Salur Langsung di Kota Depok Tahun 2023 Noviani, Ika Herayana; Gani, Ascobat
Journal of Mandalika Literature Vol. 6 No. 1 (2025)
Publisher : Institut Penelitian dan Pengembangan Mandalika (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/jml.v6i1.3926

Abstract

Penelitian ini bertujuan untuk mengevaluasi secara formatif penyerapan anggaran Bantuan Operasional Kesehatan (BOK) Puskesmas Salur Langsung di Kota Depok pada tahun 2023. Dengan menggunakan metode evaluasi formatif, penelitian ini menganalisis efektivitas penyaluran BOK Salur dalam mendukung Upaya Kesehatan Masyarakat (UKM). Data dikumpulkan melalui wawancara mendalam dan analisis dokumen terkait alokasi anggaran, waktu penyaluran, insentif UKM, serta hambatan yang dihadapi oleh Puskesmas dalam melaksanakan program ini. Hasil penelitian menunjukkan bahwa penyerapan anggaran BOK Puskesmas di Kota Depok mencapai 87,84%, meningkat dibandingkan tahun sebelumnya yang sebesar 81,92%. Namun, masih terdapat beberapa Puskesmas yang mengalami penurunan penyerapan anggaran secara signifikan. Faktor-faktor yang mempengaruhi penyerapan termasuk ketepatan alokasi dana, waktu pencairan, serta pemahaman tentang petunjuk teknis (juknis) BOK. Selain itu, insentif untuk UKM belum sepenuhnya diserap oleh semua Puskesmas. Kesimpulan dari penelitian ini menegaskan perlunya perbaikan dalam mekanisme penyaluran BOK serta peningkatan kapasitas sumber daya manusia di Puskesmas agar dapat memaksimalkan pemanfaatan dana. Rekomendasi untuk penelitian selanjutnya adalah melakukan studi lebih mendalam tentang faktor-faktor yang menghambat penyerapan anggaran dan mengeksplorasi dampak dari kebijakan insentif UKM terhadap kinerja Puskesmas.
Analisis Efektivitas Biaya Vaksin HPV (Human Papilomavirus) Lupi Trijayanti; Ascobat Gani
Jurnal Penelitian Kesehatan SUARA FORIKES 2022
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf13nk410

Abstract

Cervical cancer can reduce survival which affects productivity, also requires large health insurance payments. Preventive efforts in the form of administering the Human papilloma virus (HPV) vaccine are a long-term investment in preventing new cases of cervical cancer. This study aims to review the literature on the cost-effectiveness of the HPV vaccine in school-age girls. The method used to search for literature is the PICOS framework from national and international journals published from 2021 to 2022 through the Pubmed and ScienceDirect databases. Based on the 3 articles analyzed, the HPV vaccine evaluated by several countries described a significant reduction in the incidence and death from cervical cancer. In addition, HPV vaccination also provides protection against financial risks, namely household expenses caused by this case. From a health standpoint, vaccination can reduce DALYs and improve quality of life in a healthy and perfect condition. HPV vaccination is a preventive program which is a long-term and cost-effective investment for handling new cases if the coverage of vaccination is high enough.Keywords: cervical cancer; Human papilloma virus; vaccine; cost effectiveness ABSTRAK Kanker serviks dapat menurunkan ketahanan hidup yang mempengaruhi produktifitas, juga membutuhkan pembayaran jaminan kesehatan yang besar. Upaya preventif berupa pemberian vaksin Human papiloma virus (HPV) merupakan investasi jangka panjang dalam mencegah kasus baru kanker serviks. Studi ini bertujuan untuk mereview literature tentang efektifitas biaya vaksin HPV pada anak perempuan usia sekolah. Metode yang digunakan untuk mencari literatur adalah PICOS framework dari jurnal nasional dan internasional yang diterbitkan tahun 2021 sampai 2022 melalui database Pubmed dan ScienceDirect. Berdasarkan 3 artikel yang dianalisis, vaksin HPV yang dievaluasi oleh beberapa negara menggambarkan adanya penurunan insiden dan kematian akibat kanker serviks secara signifikan. Selain itu, vaksinasi HPV juga memberikan perlindungan terhadap risiko keuangan yaitu pengeluaran rumah tangga yang disebabkan oleh kasus ini. Dari sisi kesehatan, vaksinasi dapat menurunkan DALYs dan meningkatkan kualitas hidup dalam kondisi sehat dan sempurna. Vaksinasi HPV merupakan program preventif yang merupakan investasi hemat jangka panjang dan efektif dari segi biaya untuk penanganan kasus baru bila jangkauan dari vaksinasi cukup tinggi. Kata kunci: kanker serviks; Human papiloma virus; vaksin; efektivitas biaya
Integration of Indonesian National Trauma Guideline into the Emergency Room System (Cipto Code Trauma System) Mulyana, Radi Muharris; Gani, Ascobat
Journal of Epidemiology and Public Health Vol. 10 No. 2 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.02.02

Abstract

Background: Indonesia has enacted the national trauma guideline since 2017 and Cipto Mangun-kusumo Hospital (CMH) has applied it since 2019 through the establishment of Cipto Code Trauma. This study aimed to describe the compliance, system adherence, performance and outcome associated with the Cipto Code Trauma system.Subjects and Method: This cross-sectional study was conducted at CMH Emergency Room (ER) using direct observations and data from electronic health records (EHRs). Observations were performed on 106 trauma cases by convenience sampling to map clinical and non-clinical components using a checklist. We compared the implemented ER components against the 2017 national trauma guidelines, assessing the system compliance. Total sampling from EHRs was performed on 4,317 trauma patients to assess performance and outcome of Cipto Code Trauma system. The data were analyzed descriptively.Results: Observations from 106 trauma cases indicate that the Cipto Code Trauma meets all criteria from the national trauma guidelines. Performance indicators from 840 patients were achieved, including trauma team activation (87.6%), on-site multidisciplinary consultation (87.6%), time to physician assessment within five minutes (84.4%), except for length of stay under 4 hours (18.5%) and time to operating theatre within two hours (45.5%). Among the 4,317 trauma cases, the mortality rate for patients in the resuscitation category was 0.4%, while 39% of these patients were discharged directly from the ER.Conclusion: The Cipto Code Trauma at CMH has successfully integrated the Indonesian national trauma guidelines, meeting all required standards. However, further improvements are needed to enhance system adherence and performance.
Co-Authors Adang Bachtiar Alfonso, Arthur Andreas Andalan, Aldi Cahya Edi Prastyo Damayanti, Febrini Dani Fedrian Dani Fedrian, Dani Dayyana, Latanza Shima Delina Hasan Dian Agnesa Sembiring Dian Pratiwi Andini Erick Prawira Suhardhi Ery setiawan Febrini Damayanti fransisren fransisren fransisren, fransisren Hendro Hendro Hulwah, Khairun Nisa il Inge Sutanto Jalin Paluhutan Sitompul James Sonnemann, James Kirana, Septy Zahrawi Kurniadi, Irwin Kurniawaty, Golda Lesmana Putra, Pandu Limbong, Ita Riyana Lukito, Memo Lukman Hakim Lupi Trijayanti Mas Aditya Soebangil Memo Lukito Mulyana, Radi Muharris Nanik Prasetyoningsih Naomi Aulia S Adjie Noviani, Ika Herayana Nur Nasry Noor, Nur Nasry Patrisia Helena Saraswati Permatasari, Rahmi Prastyo, Cahya E. Puput Oktamianti Puput Oktamianti PURWANTYASTUTI PURWANTYASTUTI Puspitasari, Ias Tarina Rahmi Permatasari Rahvy, Aisyah Putri Ramadani, Royasia Viki Raymond Surya Retno Prihastuti Riki Yedija Lumban Tobing RM. Widjajanto, RM. Robert Tilden Roy Michael Suranta Saraswati, Patrisia Helena Septy Zahrawi Kirana Silistiadi, Wahyu Simbolon, Ferawati Siti Nurlatifah, Siti Soebangil, Mas Aditya Suhardhi, Erick Prawira Sulistio, Septo Suranta, Roy Michael Trijayanti, Lupi Yudianto B. Saroyo Zahrina, Zahrina